摘要
目的：探讨鼻内镜下治疗结构性鼻炎的手术方法和疗效。方法：对84例结构性鼻炎患者行鼻内镜下鼻腔成形术。包括：①三段法下鼻甲功能性部分切除；②中鼻甲成形；③窦口鼻道复合体功能性切除；④鼻中隔黏膜下矫正。手术结合患者主诉症状、鼻内镜检查和鼻窦CT分析，将上述各个单一手术进行组合．制定个性化方案进行手术。结果：术后随访8～12个月，平均10个月。痊愈59例（70．24％），有效21例（25．00％），无效4例（4．76％），总有效率95．24％。结论：结构性鼻炎是由于鼻腔存在多种结构异常而引起功能异常的一类疾病。鼻内镜下鼻腔成形术是对双侧鼻腔进行统一的功能性矫正，恢复鼻腔对称性整体结构的手术，应进行统一规范。
Objective： To discuss endoscopic surgical treatment and its effect on structural rhinitis. Method： Eighty-four patients with structural rhinitis were treated by endoscopic rhinoplasty of nasal cavity, include： （1）inferior turbinoplsaty with three segment method, （2） middle turbinoplsaty, （3）functional resection of ostiomeatal complex, （4）endoscopic submucous septoplasty. To achieve organic combination of the above surgery methods according to the patient＇ssymptom and the different results of the CT scan , the surgical procedure were designed individually. Result：All patients were followedup for 8 to 12 months, average 10 months. The rate of fully recovered without serious complication was 95.24%. Conclustion： Structural rhinitis is a sort of functional disease as a result of multi-abnormality of nasal cavity structure. Endoscopic rhinoplasty is an effective treatment by means of reconstructing the balance of bilateral nasal cavity and improving its function.
出处
《临床耳鼻咽喉头颈外科杂志》
CAS
CSCD
北大核心
2007年第17期782-785,共4页
Journal of Clinical Otorhinolaryngology Head And Neck Surgery
关键词
鼻炎
结构性
外科手术
内镜术
鼻腔
Structural rhinitis
Surgical procedures, operative
Endoscopic
Nasal cavity
